Individual
MAZHAR AHMED KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N STATE ST, GREENFIELD, IN 46140-1270
(317) 462-5544
(317) 468-6268
Mailing address
1 MEMORIAL SQ STE 50, GREENFIELD, IN 46140-1357
(317) 468-6270
(317) 468-6268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q4614
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2012
Last updated
03/31/2020
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